Spinal Fractures: When It Needs Surgery vs Simple Treatment

追加: 2026-04-30

[00:00:00]So, talking about the spinal conditions, [music] what are the different spinal fractures that you deal in? And how are patients treated in this [music] regard?

[00:00:10]We as Paras have actually been dealing with spinal fractures quite some here because our team is ready for 24/7 with these types of fractures and they come with >> [music] >> say like an injury something like fall from tree or something like a road traffic accident. And fall from trees to be out of topic, fall from trees is quite common in Kashmir especially from walnut trees. It's notorious for having falls.

[00:00:32]And with respect to them when they when they when they come to us, so they're in very obviously in pain. They have neurological deficits something like weakness in the limbs and everything.

[00:00:41]And then they want treatments on an acute basis. They want it to be done quickly. So, since our teams are all almost always on call, so we attend to those patients and then we have to diagnose them first. So, for that we basically do a CT spine [music] as well as MRI. So, once those things are done, then we decide for the treatment.

[00:00:59]Something like say like the patient has bony fracture but does does not have neurological involvement, does not have weakness in the limbs or >> [music] >> sensory abnormalities in the limbs. So, the treatment will be different, okay?

[00:01:11]But say like the patient has bony [music] fractures and as well as neurological deficits, then the treatment will be different. Usually there are say going to the first scenario, say patient has a small compression fracture, does not have any neurological deficit. So, we can treat them with percutaneous vertebroplasty. So, it is something like putting in just bone cement through the skin. [music] We'll just use two 2 mm 3 mm small incision, put up needles in the x-ray [music] and go directly to the bone, put some cement, harden the bone, relieve the patient of the pain, and send the patient back next day. That simple. But something like [music] a patient has a compression fracture, the bone has gone into the spinal canal, the patient is bedridden now, cannot walk.

[00:01:52]>> [music] >> They will require a major surgery. Both that even can be done with minimally invasive technique as well as with the open techniques. We're doing both. And in that sense then we have to go in, remove that compression of the neural tissue, restructure the neural nervous tissue, the covering of it, and realign the spine, fix the patient. And then in the post-op the patient has still to be undergo physiotherapy, a rigorous physiotherapy. Sometimes they recover, sometimes they don't.